Individual
KIM EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1600 NE 8TH ST, OKLAHOMA CITY, OK 73117-2804
(405) 605-3533
(405) 605-3633
Mailing address
1600 NE 8TH ST, OKLAHOMA CITY, OK 73117-2804
(405) 605-3533
(405) 605-3633
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
01/10/2019
Last updated
01/10/2019
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